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A comprehensive reference that provides guidance in the provision of health services to inmates is presented. This manual contains the following chapters: introduction; historical overview -- the movement to improve correctional health care; legal considerations in the delivery of health care services in prisons and jails; ethical considerations and the interface with custody; the organizational structure of correctional health services; staffing considerations; health care delivery system model; programming for special health needs; women's health needs and services; health promotion and disease prevention; planning correctional health facilities; data management and documentation; improving the quality of correctional health care; cost considerations -- financing, budgeting, and fiscal management; and conclusions and future issues. Appendixes provide: Health Summary for Classification; sample organizational structure charts; coverage factor calculation summary; comparative analysis of health care standards in prisons and jails; sample health record forms; matrix for special health needs; sample mental health policies; NCCHC's "Position Statement on the Administrative Management of Inmates With HIV-Positive Test Results or AIDS"; sample clinic/infirmary equipment list; sample quality improvement policy and guidelines; cost-comparison tables; and about the NCCHC.

Correctional Health Care: Guidelines for the Management of an Adequate Delivery System cover

With the rates of incarceration skyrocketing, the need for effective and more efficient correctional healthcare services has skyrocketed.  Many health problems that plague our society plague the corrections industry at an even greater rate; increasing demand for healthcare services for the mentally ill, substance abuse, suicide prevention, and care for the elderly to name a few… are placing greater and greater demands on an already overworked system. The NIC Information Center has collected a number of resources to provide an overview of the issues surrounding correctional healthcare.

Please visit our Health Reform and Public Safety microsite to continue researching this topic: https://info.nicic.gov/hrps/

A special thanks goes to Jefferson County Sheriff's Office for the photograph.

"This resource was designed to enable correctional entities to comply with HIPAA and 42 CFR Part 2 in the receipt or sharing of PHI [public health information], whether the correctional entity meets HIPAA’s designation of a “covered entity,”17 is determined by 42 CFR Part 2 to be a “federally assisted program,”18 or does not meet either criteria. The tools within the resource may be used by any correctional entity interested in articulating its commitment to protecting PHI and implementing the components of a privacy framework." This publication is made up of three chapters: introduction; overview of HIPAA and 42 CFR Part 2 regulations—HIPAA regulations regarding medical and mental health information, and 42 CFR Part 2 regarding substance abuse information; and PHI policy development template. Appendixes include: glossary; listing of applicable federal laws; release of information—consent authorization guidance; contractual agreements; court orders; 42 CFR 2.22—Notice to Patients of Federal Confidentiality Requirements; PHI Privacy Policy Review Checklist; and standards and resource list.

Corrections and Reentry: Protected Health Information Privacy Framework for Information Sharing Cover

Anyone dealing with the provision of services to justice-involved youth should read this publication. “This report outlines federal and state eligibility, enroll¬ment, and outreach strategies that can help facilitate seamless coverage for system-involved youth. Adoption of these initiatives has the potential to improve the lives of juvenile justice-involved youth and their families, increase their ability to remain in the community, and ultimately, reduce recidivism. Key to the success of these strategies will be ongoing collaboration between the multiple state and federal agencies that interact with the juvenile justice population” (p. 7). Sections of this publication discuss: Medicaid eligibility options to ease community reentry—suspending eligibility, continuous eligibility, presumptive eligibility, and special enrollment procedures (Oregon, Colorado, and Texas); implications of health reform for juvenile justice-involved youth—eligibility and enrollment policies; emerging issues—transitions in coverage between Medicaid, CHIP (Children's Health Insurance Program) and exchanges; and evidence based practices for meeting the needs of juvenile justice-involved youth.

Facilitating Access to Health Care Coverage for Juvenile Justice-Involved Youth Cover

Materials on this website address the issue of health care service provision in many county jails. Access is provided to: “ Health Intake, Assessment, and Routine Care Processes in County Jails: A Brief Overview for a NACo Webinar Presented on February 24, 2012”; and a series of flow charts for the Intake Process, Sick Call, and Discharge Planning.

Flow Charts of Jail Procedures: Health Intake, Assessment, and Routine Care Procedures in County Jails Cover

Issues regarding health conditions and health education of incarcerated minority women are discussed in this paper. Topics covered include: incarcerated women's health care—infectious and chronic diseases, disease-specific care, mental health, and programs specifically for incarcerated females; health education programs in prison—education strategies from intake to reentry, and collaborative prison-community partnerships; return to the community-- post release access to care; and a conclusion explaining the need for "[I]mplementation of easy health care access, health education programs and treatment interventions during and post incarceration allow incarcerated women an opportunity to maintain medical treatment practices and have positive health outcomes" (p. 6).

Forgotten Women: Incarceration and Health Concerns of Minority Women cover

The answers to the eleven most asked questions about providing health care in a correctional setting as directed by the Affordable Care Act (ACA) are given. This is important information for correctional agencies trying to address the costs they incur in the provision of inmate health services.

Frequently Asked Questions (FAQ): The Affordable Care Act (ACA) and Justice-Involved Populations Cover

Most people leaving prison have at least one chronic problem with physical health, mental health, or substance use (Mallik-Kane and Visher 2008). These health problems make it harder to successfully reintegrate into the community after incarceration— affecting people’s ability to avoid offending and maintain employment, housing, family relationships, and sobriety. Historically, most people returning from prison lacked health insurance, impeding receipt of care for chronic health conditions and leading to high levels of emergency room use. The option to expand Medicaid under the Affordable Care Act created an opportunity in many states to connect large numbers of returning individuals with health coverage. As states and localities increasingly meet that challenge of enrolling people returning from prison and jail in Medicaid, the question of what factors other than having or lacking health coverage affect people’s decisions to access health care in the community takes on greater importance.

“This course provides an overview of how upcoming changes to California’s health care system will impact local criminal justice systems. Speakers compare and contrast health care in the county corrections systems today with health care in the years to come under the Affordable Care Act. A framework for providing health care to the criminal justice population is presented to facilitate preparations at the county level that can help to maximize criminal justice resources. Highlights include: How improving access to health care can reduce recidivism; Health care for the criminal justice population today and tomorrow--How it will work in 2014 and beyond; [and] Laying out a framework: An overview of the steps criminal justice systems can take to take advantage of health care reform opportunities.” The home website provides access to: course materials including slides from the following presentations: “Public Health and Public Safety: Explaining the Critical Intersection of Healthcare and Recidivism” by Community Oriented Correctional Health Services (COCHS); “Covered California: Understanding Health Benefits” by David Panush; “Counties and Medi-Cal for Inmates: Current Rules – Future Considerations” by Cathy Senderling-McDonald; “Health Care Reform and Medi-Cal: Looking to 2014” by Leonard J. Finocchio; “Covered California: Understanding Health Benefits” by California Health Benefit Exchange; “Public Health and Public Safety: Explaining the Critical Intersection of Healthcare and Recidivism” by Community Oriented Correctional Health Services (COCHS); and “Counties and Medi-Cal for Inmates: Current Rules – Future Considerations” by Cathy Senderling-McDonald; links to course related materials about public health and public safety, healthcare for today and tomorrow, and framework development; and links to other resources.

Healthcare Reform and County Criminal Justice Systems: An Introduction to Health Care Reform and the Opportunities and Challenges for County Criminal Justice Cover

"This brief provides an overview of the health and mental health needs of girls and boys in the juvenile justice system and the role of Medicaid in addressing those needs. It focuses on the circumstances of those girls and boys who are placed in juvenile justice residential facilities, the discontinuity of Medicaid coverage for those youth, and the options for improving coverage, continuity of care and access to needed services post-discharge, including new opportunities provided by the Affordable Care Act" (p. 1). Sections of this publication cover: profile of youth in the juvenile justice system; types of juvenile justice residential placements; health needs of girls and boys in the juvenile justice system; health services for youth in juvenile justice residential placements; the roles of Medicaid and the Children's health Insurance Program (CHIP); and key issues looking forward. Also includes are these appendixes: "Girls and Boys in the Juvenile Justice by State, 2010" (table); "Girls Health Screen (GHS)"—description; and "Origins of Medicaid's Inmate Exclusion".

Health Coverage and Care for Youth in the Juvenile Justice System: The Role of Medicaid and CHIP Cover

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